Abstract P229: Is a Multidisciplinary Approach to Hypertension Better Than Traditional Care in Female Hypertensive Patients?
Background: Rush Heart Center for Women (RHCW) opened in October 2003 to provide a multidisciplinary approach (MDA) for female patients (pts). RHCW provided personalized care plans to address women’s heart health, with an emphasis on female-specific risk factors and symptoms. MDA including cardiologists, dietitians and nurse practitioners to treat female pts was compared to a similar cohort using standard practice in terms of HTN treatment.
Methods: A retrospective study identified pts with HTN treated at RHCW using a MDA and compared to a cohort of pts treated by cardiologists and received a standard level of care consistent with guidelines and recommendations (standard practice). Pts seen between 2008 and 2014 with at least 2 visits between 9 and 15 months apart were studied. Demographic moderating variables were race, age, and insurance. Moderating clinical variables were baseline systolic BP, body mass index, diabetes, smoking status, history of coronary disease, stroke, and prior treatment of HTN. Bivariate and multivariate analyses were conducted to determine the effect of treatment type, with pts’ follow-up BP.
Results: A total of 1486 pts were evaluated. Pts seen treated by MDA was younger by <3 years. Table shows descriptive statistics and bivariate analysis. Multivariate analysis revealed that pts treated with MDA had a significantly lower BP in their follow-up systolic BP, 3.8 mmHg less, compared to pts treated with standard practice. (p<0.002).
Conclusion: The multidisciplinary approach had better BP control in female hypertensive pts. Prospective studies comparing MDA to standard practice may help to assess improved quality of life, compliance and outcomes.
Author Disclosures: J.A. Weber: None. S.C. Shah: None. S. Turley: None. L.T. Braun: B. Research Grant (includes principal investigator, collaborator, or consultant and pending grants as well as grants already received); Modest; NIH. D. Speaker (includes speakers bureau, symposia, and expert witness); Modest; Practice Point. G. Consultant/Advisory Board; Modest; Up to Date. E.R. Kent: None. A.S. Volgman: B. Research Grant (includes principal investigator, collaborator, or consultant and pending grants as well as grants already received); Modest; NIH. G. Consultant/Advisory Board; Modest; WomenHeart Scientfic Advisory Board.
- © 2015 by American Heart Association, Inc.